Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.56 / $16.95 / $25.20	Facility		$13.56	$16.95	$25.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $10.74 / $44.42	Professional		$9.27	$10.74	$44.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.30 / $29.38 / $31.08	Facility		$24.30	$29.38	$31.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $5.58 / $46.75	Professional		$5.58	$5.58	$46.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $30.70 / $31.90	Facility		$8.61	$30.70	$31.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.54 / $36.86 / $56.54	Facility		$31.54	$36.86	$56.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $30.43 / $34.58	Professional		$13.22	$30.43	$34.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.06 / $10.06 / $13.56	Facility		$10.06	$10.06	$13.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $10.17 / $100.00	Facility		$9.27	$10.17	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $11.30 / $31.30	Professional		$6.63	$11.30	$31.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.65 / $22.14 / $85.00	Professional		$5.65	$22.14	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.06 / $10.06 / $13.56	Facility		$10.06	$10.06	$13.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $27.72 / $38.50	Professional		$13.82	$27.72	$38.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22.60 / $22.60 / $100.00	Facility		$22.60	$22.60	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $7.51 / $10.98	Professional		$5.99	$7.51	$10.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $11.63 / $24.06	Professional		$11.63	$11.63	$24.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $53.58 / $61.70	Professional		$11.63	$53.58	$61.70
United Facility/Professional Professional Modifier Low / Median / High Price $5.65 / $9.47 / $31.30	Professional		$5.65	$9.47	$31.30